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OK. It's recording now super uh I'm Mark, I'm one of the IMTS at the Royal Infirmary, Edinburgh. Uh This session is on uh ki and how to get started with it, but also how to play around with the uh algorithm. And part of the reason that I set up this session is because it can, it can be a bit of a steep learning curve getting into a key. But the second aspect of it is that I find in medicine that it um and I uh the other people in the presentation will already know about this. But it was very important for me to open up my time and re uh away from studying and to relax myself about examinations. You know, I haven't been nervous about an exam since I started using Anke consistently and I continue to not be nervous about an exam. Um So we'll get started for those of you ha who have set up ke in the past. Um You may wanna zone out uh watch some youtube or something for the next eight minutes, nine minutes uh because the basics uh will be quite basic. Um Those of you who have never installed, looked at Anky before. You might be um a little bit overwhelmed, closing it on the end of the basics section and into the algorithm section. But I think that's where a lot of the nitty gritty is uh in getting started. So if you want to hang around and just take a little notes or look at the presentation later uh about how to set up your Anky. Um I, I would suggest you stick around for that bit um for those of you and we'll check back in um into the people who are here um who have used um and key before and are kind of interested in optimizing their algorithm and how they use it. Then we'll stick to that, we'll stick that at the end. Uh So some of you may want to zone out until then and that's totally OK. Um But I'll, because the session is being recorded, I will go over uh at least a little bit of the advanced use um section no matter who stays on the call. So, uh don't worry about that, right. So we got the basics of views for those of you who don't know Anke is um essentially automated optimal flashcard study. You get a free app, you make your own flashcards or you get some from a, a reliable community. Probably the biggest and strongest out there is a Reddit medical school ke community that's centered around the United States and the cards come back to you as in the flashcards are reintroduced back to you when the computer predicts that you're going to forget it. And I've put all these silly animations on that se sentence because that's really the key of, of key. Um, that's the most important bit because if you, if you see cards too often, your brain is gonna be bored and you're not going to learn as effectively. You'll notice throughout this ex uh presentation, there's some personal nugget darker boxes on the, on the slides, you can have a read of those. I won't always cover that. Um And it's just if you want to look at the presentation later and maybe get some more tips and tricks about uh what, what kind of makes sense, then you can look at that. So and key on top of all that for those of you who, you know, want to look into how well they're studying and what, what's going on might uh be beneficial because it's gi gives you a dashboard of your performance, but this is um kind of extra. We don't really need this to be good at studying to get better in medical school. So I'll skip over it. But some of the details here you can see, it'll predict how many cards you you're gonna be doing in the future. It'll be, it predicts how hard the cards are for you. How uh so, you know, they should be around the green mark if they're easy. Um, it will tell you when you're doing your cards and how well you do at what time of day. So, you know, I do most of my cards as you can see on the, um, oh, sorry. Oh, I'm obviously not, uh, in tune with using my, uh, task. Uh, what do you call it, the mouse pad that much? Uh, I can't do my laser pointer. Maybe I can do it here. So, uh, oh, double laser pointer. I don't know if you see that, but I do, um, there around the left laser pointer if you can see too, um, there is, um, I do most of my cards in the morning. So, um, and, and I do quite well then it goes course later. Now, let's see if I can get rid of that cause that's again, it's gonna be annoying. Uh Yeah, just turn that off. Super. Ok. Um This is what I've covered already a little bit when you study, it's tempting to keep reading something that you don't understand or that you're just learning. But the reality is if you do that too quickly, your brain will be bored and you won't learn as well. And you've probably already felt that now if you do a two slowly or too rarely, then your lo your learning will be worse as well because you haven't reached that threshold of learning. And finally, although cramming, you need to do it to some extent, uh especially when you're learning loads of stuff. But everyone's recognized that that learning is poor. It's short term. And in the end, if you count how many times you're gonna be cramming over the next four or five years, potentially not worth it, you need to know this stuff for a career in medicine. Now, I'll go over some, some quick examples of how a card might act for those of you who've never used Anke before. I assume you have a very simple fact, you know, the heart is in the chest. Now, you would argue whether or not you need to make a card for that at all. But just as an example, it's something that you're very rapidly gonna remember. You don't really need to, you know, you're, you're telling the algorithm that you know the card, you know it, you know it, you know it. So after you, you've told the algorithm three or four times that you know the card. Well, the next time it's gonna show you the card is probably in six months, a year, two years. You know, that's, that's pretty realistic. You maybe only need to think about the placement of the heart in the chest, maybe once every few years. Otherwise you're gonna remember it cause you come across it all the time. The other situation is if you have maybe a complicated concept, maybe a collection of facts about a disease, a complicated disease if you guys have come across Behcet's disease, it's got loads of little tidbits to it and you don't expect yourself to remember and to do well on it. So you tell the algorithm. Oh, I don't really know it. I don't really know it, it will come back more often, but just often enough that you're still struggling a little bit and making your brain work for it. Now again, this is a bit where those who have never touched Anke might start to be a little bit uh frazzled, but that's OK. Stick with it. There are two main types of cards, cards that are learned and then they're graduated. So when, while you're learning a card, as I'm sure you can appreciate cards need to be introduced to you quite frequently so that you learn them and they undergo in the Anke program, a slightly different set of repetition. Once you've learned them, they've gone through all the stages of the learning algorithm, then they move to the mature cards, graduated cards. In other words. So in case you're looking through the handbook for ke and you're a bit confused by some of these terms, that's what they mean. There's a different algorithm for learning than from graduation. And that's when the, the core of your deck is really the graduated cards, the mature cards that you're telling. How often, you know, how good do you really remember them? How well do you remember them? And the algorithm will decide when to bring them back. Just looking at the little screenshot at the bottom. That's one of my new cards, uh uh or newish cards, let's say uh when I took the screenshot, um and you can see that the red is underlined, um It's previously had come from the blue. That's the learning cards. The red is the card that you're currently looking at. Where, where is that in these uh number of cards that you need to do per day? And once you have done the initial step of learning, then it will jump over to that red section. And that's ba that's basically where the learning cards and the graduate cards are. When you're first looking at at thank key. Uh Just to orientate you a little bit right again, hang tight, get, you might get a little bit Fr Froy at the beginning. The default way that you rate cards in Yankee is again, hard, good, easy. And we'll talk about what we should be doing with these. But the meeting in general is as, as you can see on the slide here in principle, I typically, and many people advise you only using two main buttons depending on how you set up your algorithm. One is again, which means you haven't remembered it and two is good, which means you've remembered it. Basically, if you add in a little bit more into that, it becomes less subjective and guess what? Your brain wants to know that you're doing well on something and it will, you, you'll ba you'll, you'll kind of lie to yourself. And so that's where separating these things out um into just again and good can be useful. Learning cards behave a little bit differently because they go through a slightly different algorithm. Um It won't affect it long term because the learning algorithm is different from the graduated algorithm. So there's a little bit more argument for using, as you can see the quick description of what each button does for using the easy button. Because if you really know something like my heart is in my chest, well, then you could probably skip that right, because you don't really need to learn it. You've already sort of just wanna push it into four years time when you're, you've maybe, you know, you're uh you're a plastic surgeon of the feet and you haven't thought about the heart for a while. You just want to be reminded that it's in the, in the chest. You see what I mean? You want to skip it at the beginning while you'll know it and then push it into the future into a point where you might forget it. That's the whole point of the process not wasting time on study. Um For the next two slides, I'll skip over these, but I'll leave them in the presentation and in uh so, uh when it gets posted on the subscription page um just so you can look through it as an example of what happens if you press again, if you press hard for a card that let's say starts at 28 days uh of an interval of 28 days, that means there's 28 days between when you last saw it and when you'll next see it and the same goes for the next slide in terms of good and easy. So these changes happen quickly. So you only need to see a card a few times before you're only seeing it again, six months down the line or something like that. And this is the key bit that a lot of people struggle with. What key presupposes that you are the most dedicated 100% studier 100% of the days you don't need to be. That, that's one of the things that I hope I can um provide you as an insight throughout this presentation is that the whole point of Anke is that you can use it the way that you want to use it that way that it is effective as long as you're objective and as long as you are serious about it. Uh Oh Yeah. OK. Sure. Sorry. Someone just taking an ECG machine, but that's OK. They can join the presentation if they want. Let's just blocking from the he just for. No, w sorry about that. That's completely fine. So, um the where was I at? So as long as you're objective about it. The important thing is that you're, you're, you're consistent with yourself and you can take it as intensely as you want to. So, um a quick example here is if you're going on vacation for five days, there's probably two options that you can take. You either. Just don't do Ankie at all during those five days and then you face the repercussions after maybe you won't have as optima optimize those cards because the algorithm hasn't been fed. You know, you're not feeding the algorithm the information appropriately and you have to do some extra ones when you get back. Um But that's OK. That happens. You know it's life. The other side is you, you can say two weeks in advance. Oh, I look, I've got five days of vacation coming up. Let me do some extra cards and you can see that in the third paragraph there. Um In case you can see my mouse, uh I'm just pointing that there. See, you can see that in the third paragraph there. Um You can do a custom study and um and basically study your ahead gradually over those two weeks so that you take over, you do enough so that you've done five days in advance. That way you can rest easy that the algorithm algorithm has been fed and you can go on vacation. And that's roughly what I do most of the time. OK? I think that was about eight minutes but I'm not gonna present view. So I don't know, but we'll move on to the algorithm swiftly. This is the, the thing that even if you haven't installed and set up an key, I think you should watch because there's a basic step by step here where we can get you set up with a reasonable algorithm that will not, will not be soul destroying when you start up your key, you should see this as one of your home pages. Once you started a deck, in this case, I've got a conciliation deck with a deck on. Uh that's, that's a sub deck within it called clinical medicine. That's besides the point you can click on the little gear, get your options going. And then one of the first things you see is daily limits. I'll go over this in very brief, but basically you don't want to be introducing too many new cards per day. Otherwise your workload of daily studying is gonna go through the roof rapidly. Personally, at the moment, I wanna keep my flash cards to a bare minimum. I'm not learning that many new things per day. So mine actually at the moment is not four. It's actually two. It's very little but earlier on it might be 20 it might be 50 50 is a bit hard core, but it's doable if you're intense about it, the maximum reviews today should be what you can physically manage. Uh Personally, I keep these at 450 but I never get even close to that. Um, it's just because if I work an eight-hour day physically, I could probably do another 450 cards on top of that. But I, um, I don't get anywhere close to that at these days. So you can sit, I key in the way that you want for your study kind of, um, expectations and time limit if you're working an extra part time job on top of university. Well, there you go. You can set that in the, this is where we start getting into the fancy stuff and you'll see some information on the side on top of what I'm speaking about because all I want to run through is the settings themselves. When you go to the new cards section, I've changed the default to one minute, 10 minutes, two hours and 1000 minutes for learning new cards. That's the algorithm that at the beginning the cards will go through before they become mature or graduated. Um And I would keep the re remain remainder of the settings the same terms of insertion order. This is something that a lot of students struggle with. Um And it's whether or not you should always study according to a theme, let's say you're on a vascular block, you should probably only be foc focusing on vascular, maybe touching on some of your other um rotations. But in reality, studies on learning have shown that it's best to keep your brain surprised and a little bit on edge. And the best way to do that is to study with different things. So just insert your new cards randomly basically. Although I acknowledge that when you're forming new cards yourself, you might want to, you might want to um uh you know, just follow on with a single theme, terms of errors and forgetting. That's when you press again, a card is lapsed. And that's why this section is called lapses. You can change the algorithm to be a completely different algorithm. But I think it makes sense that if you've forgotten a card, you sort of wanna learn it in a similar way as your learning algorithm. And that's what I've recapitulated here. So my relearning steps are 10, 2 hours and at 1000 minutes, which is about 17 hours. Um Again, I would keep the minimal interval, uh the way it is, that's just the minimum amount of days that it can, uh cards can sep be separated by and finally, just for nomenclature because it shows up in the, in the help pages. Um And isn't super clear but is leeches, you cannot disable this function. And I'll talk about why in a second, I don't like it. But basically, if you mark a card wrong eight times, I've lost my mouse. If you mark a card wrong eight times, it becomes a leach and is marked as such either through a tag which we won't go into in detail here. But you can easily discover if you download an key or you can suspend the card as in have the card in your deck but not active at the moment. I would personally keep it at tag, but suspend is not actually a bad option because, um, in terms of flashcards, if you, the people who have gone full nerd on this, that have, um, I think correctly decided that leached cards are pretty useless. You are constantly getting a card wrong, you continue to get a card wrong and you're spending loads of time on it. That's exactly why you haven't downloaded key. That's the opposite reason for why you have downloaded key more clearly said. So do think about rehashing the cards completely if they become leeches or going away studying them differently in a textbook, write a play anything else. But don't do flashcards personally. I just sort of adjust my cards because I don't like getting rid of the hard work of having created a card. But there is something to be said about suspending the card and studying the topic a different way. A quick example of this. Uh I suppose if you've got two very similar concepts and now, um o or a load of information, you may need to have little mind tricks rather than flash cards, remember them mnemonics and things like that. Uh So for instance, if you're trying to remember all the capitals of the Caribbean Islands and how the Caribbean Islands look. Um, you might want to remember that an gorilla is, looks like a bit like an angle and it, the word sort of sounds like it. So, um, you, you can use these stupid tricks, even if they're incorrect. It doesn't matter. They, they're tricks that lets you remember it. Ok. So we've talked about the leeches and it's ok to not have your cards to be 100% correct. That's this is the whole point of medical school of the learning process of doing the flash cards. The problem is if you get too convinced that your flash cards are 100% true, uh then you could become convinced and it'll be difficult to unlearn what you've learned. But um just keep an open mind, keep reviewing your cards from time to time. You have to review all of them. Just the ones that you feel have the HE B gps about one of the last um segments that I want to touch on in the algorithm section before we go to advanced use is the burying sibling cards. This bit is also not super clear in the help section. So I wanted to go over it in a brief. Basically, I would recommend you very sibling cards because sibling cards are um two flashcards developed from the same set of entries, a set of entries. So let's say the front and the back of a card is called a note in a key. One of those note, one of the, one of the cards of that note might be, show me the front and then you have to determine what the back is, another card might be. Show me the back and you have to determine what the front is. Those are siblings, the the back to front and then front to back are siblings. So you don't really want to be seeing the same card. But in the reverse order right after you've done the other direction, that's kind of useless way of a waste of time. So at least bury it until the next day. That's still not optimal. But that's the best that the the default has from that point of view. Unfortunately, by unless you have find a good add on, there is no way to bury related cards in the same way. So cards that might be about the same concept of how the same keyword I think as far as I've seen, there isn't a good add on for that. And I don't personally use one. I just accept that there's some sub suboptimal work that ke does. OK, some more, some more. Um where the magic happens again, there's some explanations on the right. But I want to focus on just the settings. Personally, I would set the maximum interval at 10 years. I, you know, I just want the ke to keep growing and if I, if I don't see a card in five years, that's fine. I just want to push it to the future. Maybe I'll stop doing Anke in five more years. Who knows the starting is? I would keep the same. I would keep it at 2.5. That means whenever you mark a card as yes. Correct. The next time it will show up is 2.5 times later. Plus some change, which we'll go over in a second easy bonus. Again, I rarely use easy as a button, but I would keep it at 1.3. In case you do, there is the very, very rare card where you might really be sure that you know it easily and I wanna push it to the future. So rather than just multiplying uh an interval by 2.5 it'll multiply it by both 2.5 and 1.3. So even longer interval modifier, I would keep about 0.9. And that is a further modifier, all these numbers. So whenever you mark a card, it multiplies that interval multiplies out by the interval modifier. Hard to go again, I wouldn't really use that often. Um But uh for, for the typical card, excuse me, but I would leave it at 1.2 in case you need it. The key thing when you mark a card hard, it will not be multiplied by the, by the ease. It only gets multiplied by the interval modifier and the heart modifier. That way the card stays with these settings. The card stays roughly at the right, at the right place at the same place, a new interval. This is probably the key change compared to the default settings. So please uh perk up if you haven't already uh all you needed masses. Um I would set it to 0.3 somewhere between 0.2 and 0.5 is good. 0.3 makes the card interval go to the previous successful card interval. So let's say you saw it at year one and then you see it at year three, but then you've forgotten it. Well, you don't really want to relearn the whole whole card. You just want to see it one year later and make sure that you can still remember it after one year. And that's basically what this interval does. The default of zero for medicine that you might be learning and keeping us flash cards for perpetuity is very unforgiving because when you have a five year old card or something that um you know, you need to relearn because you happen to press again. That's not realistic. You're gonna get bored, you're gonna get angry, your workload is gonna go way too high. So this will keep it all balanced out. So just to reiterate the most important change pro uh that I would recommend is keeping a new interval of 0.3 and if in case you can't see, oh gosh, I did the same thing. But anyway, where the magic happens, I was gonna activate my double laser pointer again in case you saw both. But uh for the importance of that statement, um But I won't just because I'll ruin it. OK. Some add-ons I basically only use at near the bottom of the slide. You can see hierarchical tags and closed overlap, which there is a new version of, but I haven't uh gone around to exploring it too much. Um So look at the c some of the clothes, um the C close add-ons and look at how close cards look in the instructions. Uh Because they're, they're probably slightly below the standard close cards are slightly below the point of this presentation because the next thing we're gonna look into is a bit more thinking about the advanced playing around with the numbers playing around with the algorithm. If you do want add-ons, there's loads of publicly available ones through this website, which I'm sure if you get the presentation afterwards, you can just press the link. I don't have a QR code here. OK. So, um just because the next bit is probably best suited to those who have already used Yake and just have some questions about how to optimize things. Um I'll, I'll open the floor up for any questions whatsoever, including the things that I skipped over in case there's anything that I that you think I didn't, I wasn't clear enough or isn't clear enough. Otherwise I'll check the, uh, chat and just in case, I'm not sure if it's active. Ok. So first year medical students, you are still mostly in the biochemical realm. Uh, I guess basic science and things like that. So, it's a very good question that you've asked and I'll repeat it for the recording. Uh The question is how many cards daily should first year medical students be studying? It, it depends on your background. It depends on your, um you know how stringent you wanna be with yourself and how much time you've got. So if you've, if you have never done a biochem degree or anything beforehand, but you really want to ace those exams, then what you might want to do is, um, keep that interval modifier in the options fairly low as in like 0.8 or 0.88. Actually, that's probably better. 0.88 and, and put as many little facts that you think you're gonna forget into ke and then introduce enough cards so that you're not accumulating hundreds and hundreds of new untouched cards at a time. So I would say, um I would expect someone who is trying to be stringent and super active to need to study about 200 cards a day, but some around 100 is a lot more sustainable and you will, your soul will be less destroyed. If you do it again, one of the great things about this is that it will free up your time. So, while you do have to study in this sort of repetitive format to get the most out of it, um, it, it can get, you know, if you're doing 200 a day, it can, it can kind of bear down on you, especially when it comes to weekends and so forth. But as you saw briefly in the add-on page, there's a way to mitigate that. So, um while I'm answering the second question, let me know if that roughly answers your question, uh Thana Thanasis and if I didn't say your name right, please write that as well. Sorry about that. Uh So AJ asks, um how many new cards do I do personally? And how much time do I allocate per day? How do I deal with missing days of ee so all good questions. Um Personally, I only, I do two cards and 22 new cards per day. Um And that's because I've learned most of my stuff and I'm just sort of tweaking my knowledge and getting more esoteric knowledge in there. Uh But when I was at my peak, let's say third year and I think ke is most powerful in the clinical years and third year is my first clinical year down in London. Um In my peak clinical years, I was probably doing 30 or 40 new cards per day. Um in terms of how do you get over missing weekends and so forth. Um They, there's a, there's an add on that I think is quite easy to find. So I apologize that I haven't remember the name overall. It should also be in the presentation if I remember correctly. But basically, it's a balancer. It's called a load balancer and it will um automatically uh change the algorithm. So you're skipping, let's say every Saturday or every Sunday, I'm not sure if I would condone or recommend skipping more than two days per week, but you could probably get away with Saturday and Sunday. Um And it will try to adjust the algorithm so that you're still doing a reasonable amount of time uh cards um and getting them back to keep your brain stimulated. How much time do I allocate per day when I used to commute by walking? Zero because I just did it while I was walking and I did, I had enough time walking to and from work to manage it. Now I cycle to the Royal um infirmary Edinburgh. And that is um uh that's become a little bit more of a challenge, but I tend to do maybe, you know, uh 15 minutes in the morning when I wake up uh during my lunchtime. Uh If I'm not chatting with anyone, I'll kind of zip through a few of them and then uh I'll do the rest in the evening, which is often, uh, doable in, you know, at most, in the worst case scenario, an hour if I'm getting distract, excuse me, distracted and things like that. Um, do I, uh, another question is, uh, how do you make cards every day and do them or, uh, perhaps was it, do I make cards every day and do them? Uh, maybe I'll wait for a clarification from Claire to, um, regarding that. But, uh, back when I was first starting ke yes, I made cards. So essentially I made a bit of time every day to make up some cards. Um And that was because most of my, you know, your full time job is being a medical student at that stage. And so you've got the time to do that. Um, when it was more about the placement, let's say in the fourth year into fifth year, uh I had a five-year degree, then you'll probably want to either dedicate, uh you know, an hour here and there to do that and, um, to do do your cards nowadays. Um because the vast majority of my time is dedicated to CV, boosting and uh working, uh pro I should probably say working and then maybe CV, boosting. Um I uh set a time every 10 to 15 days to go over the notes from the last 10 to 15 days or so. And uh make up some cards for that because that also gives you time to sleep on things that you thought were really interesting but end up being really boring and not useful for flash cards. Um and that that can be super useful. Uh So I hope that helps. Mhm I'll wait for another minute or so for any further questions. And then we'll just um for those of you who have done you before, feel free to stick around. If you haven't, then I am more than comfortable with you guys having engaged. Thanks very much for your questions and I can just run through the advanced uh use section for those who want to watch the presentation later. Iphone says, should I use pre-made cards in clinical years? Um If by premade, you mean uh pre-made by someone else, uh I find that uh to be both useful and not useful depending on the context. So, um everyone has a slightly different way of wording things and, um, and at the same time, if you make your own cards, then you can kind of know what the card is without even knowing what the actual contents of the card are. If you see what I mean, I can see the way that I've written something and I'm like, oh yeah, that was my card on, you know, CT heads or something like that. So there's real power in using other people's cards. But I find that the card making process gets, lets me know how I think about things and um, and therefore ask the question in the right way. So I personally have a preference towards self-made cards, but pre-made cards are very useful, especially if you don't care about making your own cards, which is fine. And also if there's a lot of um uh diagrammatic cards, which are very, very annoying to make, but very, very useful when other people have made them for you. Uh Now the problem is with the copyright of the images, it can be difficult to get a hand on those decks. But um that uh I suppose I shouldn't comment further but that, that, that's a nice thing. Um You struggle not to uh AJ adds that uh a common issue and thanks for that question because it's, it's tough um struggle not to overdo my cards. Um How do I make sure that uh you don't overdo it? Right. So there are a few ways to look at this. Um One is accept that you won't be 100% and lower that interval modifier a little bit. That's probably the most honest way to do it. Lower the interval modifier by 0.02 or so and you'll be studying slightly less per, to per, per each one. Um I think that's a fairly reasonable option and then you can reassess if you're doing well enough on exams and doing well enough in your a key. Um because you have that dashboard. Um The other options are to, I'd actually have to have to think about that to have a more insightful answer. But the, the, the question is maybe you rehash your cards to make them simpler. That way you can run through simpler concepts and only remember the, the key bits for each one. So you separate it out that way you can answer cards correctly more often, even if there is more of them. The second is to adjust the interval modifier and then reassess in 2 to 3 months to see how you're doing. Um I'm afraid if your, if your, you know expectations, if you, let's say your memory isn't that good because people have varying memories and, you know, you need to train your memory and so forth if your memory is starting out, not that good, which is ok. That's where ke comes in and it's amazing. Um Then you might want to, um, uh you may need to accept lower standards or study more basically. So it's, it's, it's, there's not a super easy, um, answer to that. Um But it's something that's super common because it's difficult to s to know how hardcore you should be with all these things. What card types do I normally use just checking if anyone's trying to lock me in or lock me up. Um What car types do I mostly use. I mostly use um clothes cards because they're the most easily adjustable without having to re upload your entire, um, your entire uh deck. Now I'm conscious that I don't have a key like a, a section to describe how to make close cards and so forth. But basically, um, you know, if you've got a, a concept and two or three different things that are interrelated that you want to maybe test one at a time, you can easily do that with clothes, you know, close one, close, two, close, three, close four, or you can test them all at the same time of close, one, close, two, close, two, close two. And then you can adjust that as time goes on and easily um uh change the cards. Now with that, the added bonus is that you have them all as siblings, so you can bury all the related ones if you have multiple in a row. Um So that's what I tend to create most often nowadays. But otherwise it's basic for, for like lists. So let's say, I just wanna say name me a couple of these things. But then I, I don't really need a reverse card for that and, and for all other things, I tend to use basic and reverse. So that way I test myself thinking in two ways. If you see a patient, let's say with, um, you know, uh respirator of 20 crackles on their lungs. Well, you want to be able to think of the differentials of, you know, um there's, there's infection, there's pulmonary edema, that kind of thing. But equally, if you have a card, pulmonary edema. You want, you want to think bilateral, you know, chest crepitations and stuff like that. If you see what I mean, you want to be able to, to know the cards both ways in real life, right, in the interest of time. I'm gonna move on. Uh But thanks for your questions. There is gonna be another section which may be more weighted towards the, the questions given the recording of this presentation in a few weeks. So you can look up for that. And if uh I can't promise how quickly I'll get back to the emails. But uh if you want my email, I think was on the first page, right? Quick run through advance use, feel free to hang uh to no uh you know, leave the presentation if this is completely out of your remit, uh should be there. Yeah. OK. So um oh maybe I should actually ask very quickly before I get in. Is anyone here actually want to in um engage in conversation regarding some of these um settings? Or are you happy for me to just crack on if I don't get an answer, I'll just crack on and sort of do the quick version cause I think that's what's best for this setting. In the meantime, I will crack on. So what is posted in the remaining, the remainder of this presentation is a few um little options for your, for your settings, for your algorithm. Settings. Now, the reason that I wanna go through it quickly rather than having a discussion about it. Um, if there's no one here that wants to have a discussion about it is because really the information is on the right side and it's quite difficult to think about it and to remember it all unless you actually look at all the options and, and have them in front of you. So that's what I've said on the, on the right side there. Um Basically I would recommend I've already talked about my recommended settings. But another and completely reasonable setup is this bottom one, I would say where you do it much, you do a learning process over much more time. And I think that's quite effective. In fact, if I were to go back to medical school, I probably would do that one nowadays. There's so, oh, is it, can you actually see that? That's the thing that's really annoying. So sorry about that. I had a, I had a feeling I should ask that earlier on, but it looked like Zoom was the thing that was um uh that, that was, that was doing that. So it should have accounted for that. So that's kind of a stupid program. Um Luckily most of the other places uh you will get the presentation sent to you uh through the kind of subscription page um posted there. I mean, um and for most of the pages, it wasn't useful So that's, that's a, that's a plus and it's on Joseph for not calling me out unless he's already on. Uh, just getting Joseph. Right. Um, so the, yeah, so the slower learning process I think is completely legitimate and actually probably, if I were to go through it again, I would consider doing that. Um, depending on, depending on how I wanted to organize my study. Uh, no, this is Marcaine to do classic. I wanna give it away. Ok. Starting ease. There's probably two main options here and one is the default that I said I've, I've preferred, but some people prefer so that they can use the easy button with a little bit more. Um, let's say usefulness. They prefer starting ease. That's much lower that way. Um They can kind of, rather than having to forget things constantly, they just mark them up as they remember them. The danger there is that your brain will get bored of studying the same things early. But as you can see in the other section on the right, you can adjust, um you can adjust the interval modifier to, to kind of go against that. But I have to say since I've not played around with that section, I don't know how easy it is to um modify the internal modifier in that case, easy bonus. Um The default is 1.3. But if you don't want to be tempted by using it too much or by having it have too big of an effect. Go to 1.0 part interval. I would probably uh suggest keeping it to mitigate against your interval modifier as we spoke about before. Uh But you can go to one if you wanted to actually penalize you a little bit and you can go even lower if you want more penalty, which is completely fine. It just depends on how you study and how you wanna use each button. But again, I recommend not using more than good. And again, in terms of the new interval, we've talked about this with a little bit more detail. So I'll leave this slide up for a second and then uh crack on. Here's one of the kind of more interesting sections that you could work on. And this is what I was referring to when, if you think that you're overdoing your ake, if you look at the formula on the right in the middle, this is the calculation you'll have to do to figure out what your interval modifier should be based on your current settings and your current achievement. So let's say you're treating, you're saying yes, correct to 0.85 of your, of your cards. The example number one on the bottom left, but you want to achieve higher because let's say you didn't do so well on exam as you did before, then you do 0.9 log over log 0.85 and your, your interval modifier should be very low, but that is a huge amount of studying. So actually, that last little bit of achievement is quite hard to do as you can see if you're already doing quite well. But you wanna achieve just a little bit less, you can make your interval modifier 1.32. So actually, um when I was talking about lo uh lowering your interval modifier, I meant increasing it. So apologies for that, I just realized that. So rather than going to 0.88 you should probably be doing 0.9394 that kind of thing. So uh a uh interval modifier 1.32 is quite large. So that will make your cards get boosted a lot and you do need to be careful with that. I probably wouldn't follow that word by word. But as you can see small changes in how much you're achieving mean a lot of difference in your studying and, and part of that key is just being honest with that. Um So here's some more examples that you can see in the PDF version of the presentation if it comes up just out of interest. So I would recommend um 0.9 to 1.1 depending on how well you're studying and what your goals are. So let's say you've done really well for a lot of time for, you know, a year and you kinda wanna ease off. Well, then you could probably go towards the 1.1 see how your cards just s, um, get less and less intense for your day and day, day, day to day schedule before I do that feedback bit. Um, obviously a chance for a bit more questions but to just in case that person is still here to address, um, uh, what was it? There was a question perhaps about, uh, overdoing cards and how much do I allocate per day? Uh Don't actually remember if there's anything else to point out here apart from, uh, if you're doing reasonably well and you're remembering things, then you can push your interval modifier up. And now actually one, this is one point I was gonna touch on for the very early medical students. You're one and two. If there's any remaining on this chat bit late. Now, isn't it? Um, ay is a little bit less longterm important so you can do what you want with those decks at the beginning just to make sure you get the, get the, get the points. I do highly advise you switching your ake over to kind of clinical medicine and starting to forget some of the earlier year stuff that you will soon realize, um, is important in life but not really in day to day clinical practice and uh postgraduate exams. Uh, it depends on which direction you go in but, um, don't be too bogged down by the preclinical. Um, the preclinical years from that point of view, don't think of them as cards you're gonna have for a long time. You should, you should start to retire them as you, as you kind of focus in your interests in terms of um in terms of specialty. Now, in case there is um no feedback through the way that you subscribe to this session, then there is a QR code here. Um feel free to ignore this. Uh Especially if there's feedback on the on the subscription uh page. Uh But would appreciate it even though it's quite tedious doing this for every little session that comes up. Uh So thank you very much for listening. I'll stick around for a little bit longer until let's say, um 505 for any questions if there's anyone remaining on the chat, but I guess we'll stop, um, we'll stop recording at some point, I suppose. Thanks very much.